脊柱稳定训练与脊柱骨质疏松压缩骨折治疗效果:个性化方案的意义(英文)

Effect of spinal stabilization training on the vertebral osteoporotic compression fracture: An individualized program

背景:脊柱压缩性骨折后稳定性的重建多采用手术方法,但对于一些保守治疗患者,如何重建其脊柱稳定性?目的:探讨脊柱稳定性训练是否可有效改善椎体骨质疏松性骨折患者的疼痛和运动功能。方法:选择骨质疏松压缩性骨折患者,分成两组,实验组患者接受常规治疗和个体化的脊柱稳定性训练,对照组仅接受常规治疗。对所有受试者治疗前后进行数字疼痛量表,3m步行计时和Oswestry功能障碍指数评价,对两组评价结果进行统计分析。结果与结论:共纳入27例患者,实验组16例,对照组11例。统计显示两组基线无显著性意义。经过4周的治疗,实验组3m步行计时和Oswestry功能障碍指数明显低于对照组(P<0.05)。但两组数字疼痛量表评估和变化程度差异无显著性意义(P>0.05)。说明经过治疗后,两组患者症状和功能均有改善,但个性化脊柱稳定性的训练配合传统治疗可更有效改善骨质疏松骨折患者运动功能,并减少骨质疏松症患者腰椎骨折的疼痛。

BACKGROUND： Surgery is a main method to reconstruct the stability of spine after compression fracture. But the reconstruction of spinal stability for patients undergoing conventional therapy remains unclear. OBJECTIVE： To explore whether spinal stability training is effective on improving pain and motor function of patients with vertebral osteoporotic fractures. METHODS： Patients with vertebral osteoporotic fractures were divided into two groups. The study group was treated with conventional treatments and individualized spinal stabilization training, while the control group received conventional treatments alone. All the subjects were evaluated before and after treatment by numeric pain rating scale （NPRS）, 3-meter timed up and go （TUG） and Oswestry functional limitation index （OFLI）. The results were compared between the two groups. RESULTS AND CONCLUSION： A total of 27 patients were included, including 16 patients in the study group and 11 in the control group. After 4-week treatment, TUG and OFLI in the study group decreased significantly compared with the control group （P〈0.05）. But there was no statistical significance between the two groups in the level of NPRS and the amount of changes （P〉0.05）. Symptoms and function of both groups were improved after treatments. Individualized spinal stability training is effective to restore the motor function and may be helpful for reducing pain for patients with vertebral osteoporotic fractures combined with conventional treatments.